Radiology, Vol 196, 811-815, Copyright © 1995 by Radiological Society of North America
Development of a community mammography registry: experience in the breast screening program project
R Clark, B Geller, N Peluso, D McVety and JK Worden
Department of Radiology, H. Lee Moffitt Cancer Center, University of South Florida, Tampa 33612, USA.
PURPOSE: To assess the formation, implementation, and operation of a
community mammography registry, which is a consolidated database for all
mammography and breast biopsy reports within a community. MATERIALS AND
METHODS: A registry was created in Lee County, Fla. Mammography
interpretation data were provided by 13 facilities and 38 radiologists
organized in several private practice groups. RESULTS: The registry
contains data on 87,926 mammograms and 3,234 breast biopsies performed
between June 1991 and May 1994. The registry calculates individual and
group mammography interpretation accuracy measures, such as sensitivity,
specificity, positive predictive value, false-positive and false-negative
rates, and clinical outcome measures such as sizes and stages of malignant
lesions detected. CONCLUSION: The registry allows community radiologists
and mammography practices to compare their outcomes with those of their
local peers and to published data and encourages focused interventions for
quality improvement based on objective experience.
